Pregnancy Concerns After Unprotected Intercourse: What to Know

Are you pregnant?

Hello doctor, on August 23, I had intercourse with my girlfriend.
The male partner used a condom, but I was overly worried and took the emergency contraceptive pill, Anliting, five minutes later.
My girlfriend's period came.
Is there still a chance of pregnancy? Today is September 22, and my girlfriend has watery discharge and is experiencing lower abdominal pain.
The pain is only in the lower abdomen, with no other symptoms.
What should we pay attention to? Thank you.

husu, 10~19 year old female. Ask Date: 2022/09/22

Dr. Zhang Kunmin reply Obstetrics and Gynecology

Hello, if you are unsure whether your bleeding is a regular menstrual period or if you are concerned that your symptoms may indicate pregnancy, it is important to consult a physician for ultrasound, urine, and blood tests to confirm whether you are pregnant.
Thank you! Wishing you peace and health.
Dr.
Chang

Reply Date: 2022/09/22

More Info

When it comes to concerns about pregnancy after unprotected intercourse, it's essential to understand the factors at play, especially regarding contraceptive methods and the body's natural responses. Based on your description, you had unprotected intercourse on August 23, used a condom, and subsequently took emergency contraception (Plan B) shortly after. You also mentioned that your girlfriend's menstrual cycle has resumed, which is a positive sign indicating that she is likely not pregnant.

Emergency contraception pills, such as Plan B (Levonorgestrel), are designed to prevent pregnancy after unprotected intercourse. They are most effective when taken as soon as possible after the event, ideally within 72 hours, but can be taken up to 5 days later, with decreasing effectiveness. Since you took the pill promptly, the likelihood of pregnancy is significantly reduced.

Regarding your girlfriend's symptoms of watery discharge and lower abdominal pain, these could be related to several factors. It's common for women to experience changes in their menstrual cycle after taking emergency contraception, including altered discharge and cramping. The hormonal changes induced by the emergency contraceptive can lead to temporary side effects, such as:
1. Menstrual Irregularities: After taking emergency contraception, some women may experience changes in their menstrual cycle, including earlier or later periods, heavier or lighter bleeding, or even spotting.

2. Ovulation: If the emergency contraceptive was taken before ovulation, it may have delayed ovulation, which can also lead to changes in discharge and cramping.

3. Hormonal Fluctuations: The hormones in emergency contraceptives can cause temporary side effects, including breast tenderness, nausea, and abdominal discomfort.

4. Infection or Other Conditions: If the discharge is accompanied by a strong odor, itching, or unusual color, it could indicate a vaginal infection, such as bacterial vaginosis or a yeast infection, which would require medical attention.

Given that your girlfriend is experiencing lower abdominal pain and changes in discharge, it is advisable for her to consult a healthcare provider. While these symptoms may be benign and related to hormonal changes, they could also indicate an underlying issue that needs to be addressed, such as an infection or other gynecological concerns.

In summary, based on the information provided, the likelihood of pregnancy is low due to the use of emergency contraception and the return of her menstrual cycle. However, it is crucial to monitor her symptoms and seek medical advice if the abdominal pain persists or worsens, or if there are any concerning changes in her discharge. Regular check-ups and open communication with healthcare providers are essential for maintaining reproductive health and addressing any concerns that may arise.

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